结合运动锻炼、化学刺激和神经肌肉电刺激对缺血性脑中风后口咽吞咽困难患者的言语干预

Q3 Nursing Revista de Logopedia, Foniatria y Audiologia Pub Date : 2023-01-01 DOI:10.1016/j.rlfa.2022.10.002

Elena Aranzazu Gras Cabrerizo , Alberto Rico Cuba , Mariana de Lourdes Maldonado Corral , Enrique Monerris García

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引用次数: 0

摘要

背景口咽吞咽困难是一种常见的疾病，对患者的健康和生活质量产生严重并发症。目的对1例延髓缺血性脑卒中患者口咽吞咽困难的康复进行运动锻炼、化学刺激和神经肌肉电刺激相结合的言语治疗干预。患者和方法制定了一项结合运动锻炼、化学刺激和神经肌肉电刺激的干预方案，并将其应用于一名患者，通过回顾性研究评估结果。结果经过2个月的治疗和45个疗程，患者改善了口咽的敏感性，恢复了嗅觉和味觉，减少了咽部残留物，口腔耐受性提高到更大的花蜜稠度，并开始了对液体稠度的口腔耐受。结论该干预措施有助于改善口咽吞咽困难患者的口咽敏感性和口腔耐受性。

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Intervención logopédica en un caso de disfagia orofaríngea tras ictus isquémico bulbar combinando ejercicios motores, estimulación química y estimulación eléctrica neuromuscular

Background

Oropharyngeal dysphagia is a prevalent disorder that produces serious complications for the health and quality of life of patients.

Objective

The objective of this work was to carry out a speech therapy intervention combining motor exercises, chemical stimulation and neuromuscular electrical stimulation for the rehabilitation of oropharyngeal dysphagia in a case of bulbar ischemic stroke.

Patients and methods

An intervention protocol combining motor exercises, chemical stimulation and neuromuscular electrical stimulation was developed and applied to a single patient, evaluating the result through a retrospective study.

Results

After 2 months of treatment and 45 sessions, the patient improved the sensitivity of the oropharynx, recovered smell and taste, reduced pharyngeal residue, progressed in oral tolerance to greater volumes of nectar consistency and began oral tolerance of liquid consistency.